HomeMy WebLinkAboutApp 2017-024H Minor Home Occupation Qa17 - 0d4 H YYN 0c,1 53
Home Occupation Information and Application Form
W' Minor Approved cam'A& Date 1,0116117 ASSESSOR'S USE ONLY
$25 fee Zoning Fee: $ QS-vi Home Occupation Type
o Major
$360 fee Munis Application# Code
Applicant Name: -wo U LAM- Te
DBA: Ai 06;-r5 M-ed L
Address of Proposed Occupation: 1,5 y 1ld i to&P PLoao
Telephone: -3 60 .R&S U 31 Zone:
Property Owners Name: M IA- V&(C-AM&
NOTE:In DRZ and MF zones only minor home occupations are allowed.Approval letter from homeowners association is required.
Description of Home Occupation:
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Please use the boxes below or an attached sheet to provide the following:
1. Attach copy of plot plan if available
Box A:PROPOSED SIGN
2. Use Box A(or attach sketch)to draw proposed signage
3. Use Box B(or attach sketch)to draw the floor plan of the Home Occupation area
4. Provide Architectural Elevations for any proposed additions or modifications
FLOOR PLAN (_Basement V 1st floor _2nd floor) � t �
/
1. Floor area of dwellingDcu O( j 16 `j 3
2. Floor area of home occupation t do t �-I
3. %of floor area devoted to home occupation SOUTH WINDSOR FLAt1NING DEFT.
Box B: FLOOR PLAN
I have read the regulations regarding home occupations and will comply with said regulations.I understand that I must notify
the Planning Department in writing upon termination of this occupation at this address.This permit is not transferable or
assignable to another person.In the event of reloc 'on,the permit holder must notify the Planning Department in writing to
transfer the permit to the new 1 ation. �
Signature of Applicant ` Date to 1161�
PRINT Name of Applicant A, V(�otym
Signature of Owner / Date —7
PRINT Name of Owner WUI U0,14eAl- C. Revised 9/12/17
PAYMENT SUMMARY RECEIPT
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
SOUTH WINDSOR CT 06074
DATE: 10/16/17 CUSTOMER#: 000686756
TIME: 16:03 VALENTE MIA V & BRUNO A
CLERK: laurenlz
RECPT#: 20898803 PREV BAL:
TP/YR: MS/2018 AMT PAID: 25.00
BILL: ADJSTMNT:
EFF DT: 10/13/17 DAL DUE:
PERMITS/INSP PAYMENT
-----------------TOTALS-----------------
PRINCIPAL PAID: 25.00
INTEREST PAID: .00
ADJUSTMENTS: .00
DISC TAKEN: .00
AMT TENDERED: 25.00
AMT APPLIED: 25.00
CHANGE: .00
PAID BY: VALENTE MIA V & BRUN
PAYMENT METH: CASH
PAYMENT REF: